Surgical Technique Guides | Orthopedic Trauma Implants

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Lateral Extensile vs. Sinus Tarsi Approach in Sanders II–IV Calcaneal Fractures: Fixation Techniques and Sourcing

Intra-articular fractures of the calcaneus, particularly Sanders Type II through IV patterns, represent one of the most mechanically and biologically demanding injuries in orthopedic trauma. The calcaneus serves as the foundational heel strut of the human foot, transmitting immense axial loads while acting as the lever arm for the Achilles tendon. High-energ...

Surgical Technique · Calcaneal Fixation

Distal Femur Lateral Locking Plate Surgical Technique: Lateral Approach, Articular Reconstruction, and Submuscular MIPO Fixation

Fractures of the distal femur—encompassing AO/OTA 33-A extra-articular supracondylar fractures and AO/OTA 33-C complete intra-articular bicondylar fractures—represent severe mechanical disruptions of the lower extremity. Successful surgical management requires restoring the anatomical congruity of the knee joint, correcting coronal and sagittal axial alignme...

Surgical Technique · Distal Femur Plating

Pilon Fracture Plating Technique: Staged Protocol, Approaches and Distal Tibia Plate Placement

The pilon fracture — a distal tibia fracture that involves the weight-bearing surface of the ankle — punishes impatience more than any other fracture in trauma surgery. Early open fixation through swollen, fracture-blistered skin leads to wound breakdown and deep infection at rates that forced the whole specialty to change its protocol. Modern treatment is s...

Pilon Fracture · Distal Tibia Plating

Proximal Humerus Locking Plate Technique: Reduction, Calcar Support and Screw Placement

Locking plating is the most common operation for displaced proximal humerus fractures in active patients, and it is one of the least forgiving. The humeral head is a small ball of cancellous bone held by tuberosity fragments under rotator cuff pull, and the margin for error is measured in millimeters: a plate a few millimeters too high impinges under the acr...

Proximal Humerus · Locking Plating

Olecranon and Proximal Ulna Plating: Technique for Displaced and Comminuted Fractures

Plating has taken over from tension band wiring in most displaced olecranon fractures, and for clear reasons: comminution, oblique fracture lines and extension into the proximal ulnar shaft all defeat the simple mechanics of a wire loop, while a contoured dorsal plate controls the fracture and lets the elbow move early. The operation rewards precision — the ...

Olecranon · Proximal Ulna Plating

Volar Locking Plate Technique for Distal Radius Fractures: Approach, Reduction and Screw Placement

Volar locking plating is the standard operation for displaced distal radius fractures in most adults. The approach is safe, the plate sits on the flat volar surface of the radius, and the fixed-angle construct holds the reduction while the patient moves the wrist early. The results still depend on technique: an inadequate reduction, a plate sitting past the ...

Distal Radius · Volar Plating

Surgical Techniques